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NASA CASA DE NINOS PEDIATRIC CENTER PA NPI 1023329117


NPI Information

NPI: 1023329117
Provider Name: NASA CASA DE NINOS PEDIATRIC CENTER, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2011959

Address:
13630 BEAMER RD STE 108
HOUSTON, TX
ZIP 77089
Phone: (281) 464-3780
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NASA CASA DE NINOS PEDIATRIC CENTER, PA is a pediatrics in Houston, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NASA CASA DE NINOS PEDIATRIC CENTER, PA NPI is 1023329117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13630 BEAMER RD STE 108
HOUSTON, TX
ZIP 77089
Phone: (281) 464-3780
Fax: (281) 464-3832

The provider's authorized official is Idalia R Rivera-matos .
The authorized official title is President and has the following contact phone number (281) 323-9724.

The CLIA number assigned to this NPI record is 45D2011959 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 6/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsJ5879TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.